Puffy, droopy eyes and always looking tired. Do I need a brow lift or blepharoplasty? (Photo)

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Hello rhirhikA Brow Lift (also known as a Forehead Lift or an Upper Face Lift) is a surgical procedure designed to lift the brow and eliminate wrinkles on the forehead. People with droopy or sagging brows can have a sad, angry, or tired appearance; a brow lift can make that person look more happy and energetic. I would advice you schedule a consultation with a board certified plastic surgeon

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon because at your age you may be a candidate for non-surgical procedures, such as fillers, lasers or peels.
Best wishes,